A modified presurgical orthopedic (nasoalveolar molding) device in the treatment of unilateral cleft lip and palate

Chitravelu Siva Subramanian; N. K. K. Koteswara Prasad; Arun B. Chitharanjan; Eric Jein Wein Liou

doi:10.4103/1305-7456.184146

European Journal of Dentistry, Table of Contents

CC BY-NC-ND 4.0 · Eur J Dent 2016; 10(03): 435-438
DOI: 10.4103/1305-7456.184146

Case Report

Dental Investigation Society

A modified presurgical orthopedic (nasoalveolar molding) device in the treatment of unilateral cleft lip and palate

Authors

Chitravelu Siva Subramanian

¹Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India
N. K. K. Koteswara Prasad

¹Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India
Arun B. Chitharanjan

¹Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India
Eric Jein Wein Liou

²Craniofacial Dentistry and Orthodontics, Faculty of Dentistry, Chang Gung Memorial Hospital, Taipei, Taiwan

Abstract

PDF Download

ABSTRACT

Nasoalveolar molding (NAM) can be done effectively to reshape the nasal cartilage and mold the maxillary dentoalveolar arch before surgical cleft lip repair and primary rhinoplasty. Presurgical NAM helps as an adjunct procedure to enhance the esthetic and functional outcome of the surgical procedures. We have developed a modified NAM device to suit to the needs of the patients coming from distant places for the treatment. This device helps in reducing the number of frequent visits the patient needs to take to the craniofacial center. The purpose of this presentation is to report this treatment technique and discuss its application.

Key words:

Infant orthopedics - presurgical infant orthopedics presurgical nasoalveolar molding - unilateral cleft lip and palate

PDF (1575 kb)

References

REFERENCES
1 McNeil C. Orthodontic procedures in the treatment of congenital cleft palate. Dent Rec 1950; 70: 126-32
2 Burston WR. The early orthodontic treatment of cleft palate conditions. Dent Pract 1958; 9: 41
3 Matsuo K, Hirose T. Nonsurgical correction of cleft lip nasal deformity in the early neonate. Ann Acad Med Singapore 1988; 17: 358-65
4 Matsuo K, Hirose T, Otagiri T, Norose N. Repair of cleft lip with nonsurgical correction of nasal deformity in the early neonatal period. Plast Reconstr Surg 1989; 83: 25-31
5 Matsuo K, Hirose T. Preoperative non-surgical over-correction of cleft lip nasal deformity. Br J Plast Surg 1991; 44: 5-11
6 Santiago PE, Grayson BH, Cutting CB, Gianoutsos MP, Brecht LE, Kwon SM. Reduced need for alveolar bone grafting by presurgical orthopedics and primary gingivoperiosteoplasty. Cleft Palate Craniofac J 1998; 35: 77-80
7 Grayson BH, Shetye PR. Presurgical nasoalveolar moulding treatment in cleft lip and palate patients. Indian J Plast Surg 2009; 42 Suppl S1 56-61
8 Grayson BH, Santiago PE, Brecht LE, Cutting CB. Presurgical nasoalveolar molding in infants with cleft lip and palate. Cleft Palate Craniofac J 1999; 36: 486-98
9 Sischo L, Broder HL, Phillips C. Nasoalveolar molding: Prevalence of cleft centers offering NAM and who seeks it. Cleft Palate Craniofac J 2015; 52: 640-50